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Predictions are activated when the corresponding tables are present

Header fields

Field

Description

Data type

Insured name

Full name of the person insured

string

Insured Birthdate

Date of birth of the person insured

date

Insured NISZ

National insurance number of the person insured

string

Addressee House number

House number of the person insured

string

Addressee Zip code

Postal code of the person insured

integer

Invoice Type

Type of the invoice: invoice/ambulant/other

tag

Credit Note

Credit note: yes/no

tag

Invoice id

Unique identification of the invoice

string

Invoice date

The date when the invoice was issued

date

Hospital id

Unique identification of the hospital invoice

string

Date in

The date when the treatment period of the person insured starts

date

Date out

The date when the treatment period of the person insured ends

date

Gross amount

Gross amount of the hospital invoice

float

Tax amount

Tax amount of the hospital invoice

float

Line items

Frais du Séjour / Verblijfskosten

Table name: Frais du Séjour / Verblijfskosten

Column

Description

Data type

Bedroom type

Description of the bedroom the patient occupied

string

Date from

Date when the patient started occupying the room

date

Date to

Date when the patient left the room

date

Number of units

Quantity of service units given

integer

nomenclature code

Unique code of the service given

alphanumeric

MUT amount

Amount refunded by the mutuality

float

PA amount

Amount to be paid by the patient

float

SUP amount

float

Montants forfaitaires / Forfaitaire kosten

Table name: Montants forfaitaires / Forfaitaire kosten

Column

Description

Data type

description

Description of the service given

string

MUT amount

Amount refunded by the mutuality

float

PA amount

Amount to be paid by the patient

float

SUP amount

float

Pharmacie / Apotheek

Table name: Pharmacie / Apotheek

Column

Description

Data type

description

Description of the service given

string

CNK code

National Code Number assigned to all the pharmaceutical products used for the treatment

alphanumeric

Number of units

Quantity of service units given

integer

nomenclature code

Unique code of the service given

alphanumeric

Notification Code

alphanumeric

MUT amount

Amount refunded by the mutuality

float

PA amount

Amount to be paid by the patient

float

SUP amount

float

Honoraires / Honoraria

Table name: Honoraires / Honoraria

Column

Description

Data type

description

Description of the service given

string

Date from

Date when the patient was treated

date

nomenclature code

Unique code of the service given

alphanumeric

Number of units

Quantity of service units given

integer

MUT amount

Amount refunded by the mutuality

float

PA amount

Amount to be paid by the patient

float

SUP amount

float

Autres fournitures / Andere leveringen

Table name: Autres fournitures / Andere leveringen

Column

Description

Data type

nomenclature code

Unique code of the service given

alphanumeric

description

Description of the service given

string

Number of units

Quantity of service units given

integer

MUT amount

Amount refunded by the mutuality

float

PA amount

Amount to be paid by the patient

float

Transport / Ziekenvervoer

Table name: Transport / Ziekenvervoer

Column

description

Data type

Date from

Date when the patient was offered the transportation service

date

nomenclature code

Unique code of the service given

alphanumeric

Number of units

Description of the service given

string

description

Quantity of service units given

integer

MUT amount

Amount refunded by the mutuality

float

PA amount

Amount to be paid by the patient

float

Frais Divers / Diverse kosten

Table name: Frais Divers / Diverse kosten

Column

Description

Data type

nomenclature code

Unique code of the service given

alphanumeric

description

Description of the service given

string

Number of units

Quantity of service units given

integer

PA amount

Amount to be paid by the patient

float

Payment Details

Table name: Payment Details

Column

Description

Data type

payment_amount

Amount to be paid

float

payment_iban

IBAN account to send the payment to

alphanumeric

payment_reference

Reference linked to the payment

string

Totals

Table name: Totals

Column

Description

Data type

Section

=rubriek

MUT amount

Total amount refunded by the mutuality

float

PA amount

Total amount to be paid by the patient

float

SUP amount

float

Example computed fields

Field

Formula

SUM CHECK SUP

EQUAL(

ADD($Frais du Séjour / Verblijfskosten.SUP amount$1:$Frais du Séjour / Verblijfskosten.SUP amount$$, $Montants forfaitaires / Forfaitaire kosten.SUP amount$1:$Montants forfaitaires / Forfaitaire kosten.SUP amount$$, $Pharmacie / Apotheek.SUP amount$1:$Pharmacie / Apotheek.SUP amount$$, $Honoraires / Honoraria.SUP amount$1:$Honoraires / Honoraria.SUP amount$$),

ADD($Totals.SUP amount$1:$Totals.SUP amount$$)

)

SUM CHECK MUT

EQUAL(

ADD($Frais du Séjour / Verblijfskosten.MUT amount$1:$Frais du Séjour / Verblijfskosten.MUT amount$$, $Montants forfaitaires / Forfaitaire kosten.MUT amount$1:$Montants forfaitaires / Forfaitaire kosten.MUT amount$$, $Pharmacie / Apotheek.MUT amount$1:$Pharmacie / Apotheek.MUT amount$$, $Honoraires / Honoraria.MUT amount$1:$Honoraires / Honoraria.MUT amount$$, $Autres fournitures / Andere leveringen.MUT amount$1:$Autres fournitures / Andere leveringen.MUT amount$$, $Transport / Ziekenvervoer.MUT amount$1:$Transport / Ziekenvervoer.MUT amount$$),

ADD($Totals.MUT amount$1:$Totals.MUT amount$$)

)

SUM CHECK PA

EQUAL(

ADD($Frais du Séjour / Verblijfskosten.PA amount$1:$Frais du Séjour / Verblijfskosten.PA amount$$, $Montants forfaitaires / Forfaitaire kosten.PA amount$1:$Montants forfaitaires / Forfaitaire kosten.PA amount$$, $Pharmacie / Apotheek.PA amount$1:$Pharmacie / Apotheek.PA amount$$, $Honoraires / Honoraria.PA amount$1:$Honoraires / Honoraria.PA amount$$, $Autres fournitures / Andere leveringen.PA amount$1:$Autres fournitures / Andere leveringen.PA amount$$, $Transport / Ziekenvervoer.PA amount$1:$Transport / Ziekenvervoer.PA amount$$, $Frais Divers / Diverse kosten.PA amount$1:$Frais Divers / Diverse kosten.PA amount$$),

ADD($Totals.PA amount$1:$Totals.PA amount$$)

)

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